外固定架治疗遗传性多发性骨软骨瘤尺骨短缩畸形  

External fixation in treatment of ulna shortening deformity due to multiple cartilaginous exostosis

作　　者：王浩[1] 李浩宇[1] 许瑞江[1] 李文超[1] 鲍兴[1] 

机构地区：[1]解放军总医院小儿外科,北京100853

出　　处：《解放军医学院学报》2013年第4期347-349,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的探讨外固定架在治疗遗传性多发性骨软骨瘤尺骨短缩畸形的效果。方法回顾我院2008年11月-2012年2月6例遗传性多发性骨软骨瘤尺骨短缩畸形患者,应用Orthofix外固定架延长尺骨,其中男性4例,女性2例,年龄9~13岁（平均9.1岁）,分析其疗效。结果患者尺骨近端延长25~35 mm,平均30 mm,均达到骨性愈合,未见延迟愈合。腕关节尺偏畸形得到部分纠正,下尺桡关节复位,前臂旋转功能明显恢复,腕关节及肘关节活动功能明显改善。1例出现远端针孔感染,给予局部消毒后好转,未见固定架松动。结论外固定架治疗遗传性多发性骨软骨瘤尺骨短缩畸形的临床效果满意。Objective To study the effect of external fixation on ulna shortening deformity due to multiple cartilaginous exostosis.Methods Clinical data about six 9-13 years（mean 9.1 years） old patients（4 males and 2 females） with ulna shortening deformity due to multiple cartilaginous exostosis who underwent Orthofix external fixation in our hospital from November 2008 to February 2012 were retrospectively analyzed.Results The distal ulna increased 25-35 mm（mean 30 mm） with a good bony union.No delayed bony union occurred.The ulnar deviation malformation was corrected,the distal radioulnar joint dislocation was repositioned,the rotation function of forearm was significantly recovered,and the function of wrist and elbow joint was significantly improved.Distal needle hole infection occurred in 1 patient,which was cured after local sterilization.No fixation screw loosening was found.Conclusion External fixation can achieve good clinical outcomes in ulna shortening deformity due to multiple cartilaginous exostosis.

关 键 词：外固定架 骨软骨瘤 骨延长术 

分 类 号：R687.3[医药卫生—骨科学]